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手术治疗睾丸鞘膜积液和囊肿有明显的并发症,约17％的患者会出现阴囊血肿,10％的患者会出现感染。此外,老年患者尚有麻醉危险。单纯抽吸疗法往往导致积液迅速复发,而硬化疗法则是有效的手术替代疗法。作者对37例睾丸鞘膜积液和18例附睾囊肿的老年患者(平均68岁)进行硬化治疗,疗效满意。方法:在无菌条件下,用20号塑料Midicut静脉穿刺套针抽干囊肿,不管积液多少,均由导管注入四环素水溶液5ml(含500mg)阴囊局部按摩,使硬化剂充分接触囊壁。患者于注射后6周、3月、9月复查。
Surgical treatment of testicular hydrocele and cysts have significant complications, about 17% of patients with scrotal hematoma, 10% of patients will be infected. In addition, elderly patients are at risk of anesthesia. Pure aspiration therapy often leads to rapid recurrence of effusion, and sclerotherapy is an effective surgical replacement therapy. The author of 37 cases of hydrocele testis and 18 cases of epididymal cysts in elderly patients (mean 68 years) sclerosis treatment, the effect is satisfactory. Methods: Aseptic cysts were drained with a plastic needle No. 20 by using a needle punched with a plastic needle. No matter how much fluid was infused into the scrotum, 5 ml of tetracycline solution (including 500 mg) was injected into the scrotum for local massage. Patients in 6 weeks after injection, March, September review.